Plantilla Incapacidad Imss _top_ [ 2024-2026 ]

Fecha: [dd/mm/aaaa] Unidad Médica: [Nombre de la UMF / Hospital] Clave de la UMF: [ ] Número de Expediente: [ ] Número de Afiliación (IMSS): [________]

Instrucciones administrativas:

IMSS issues official medical leave certificates for workers who are temporarily unable to work due to illness, accident, maternity, or occupational risk. plantilla incapacidad imss

An 18-digit CLABE (bank statement) if you want the IMSS to deposit your payment directly. Maternity: Fecha: [dd/mm/aaaa] Unidad Médica: [Nombre de la UMF